| NPI | 1992787287 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: CT 018221) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: CT 018221) |
| Enumeration Date | 2005-11-14 |
| Last Update Date | 2020-12-09 |